| NPI | 1093174500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARON BROOKER Executive Director 406-696-6595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2022-07-21 |